Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00779 | Date 22/09/2018 |
| Token No | SM/18-19/1041 22/09/2018 | Serial | 021 |
| Patient Name | Mrs. ANJANA DEY | Contact No | 7890456235 |
| Address | DEY STREET | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/86 mmHg | Weight | 52 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||